Acueste se y coloque uno de sus brazos por debajo de la cabeza y examine con el otro brazo el seno, desde la región de la clavícula
ACCIDENTE DE CEREBRO VASCULAR (ACV)
Attributable mortality rates were calculated using the data in Table 33. The attributable
mortality rate for each indicator was calculated as the average attributable mortality rate over the relevant journal articles, weighted by the number of MDROs considered in each analysis.
Table 33: Attributable mortality estimates from literature review MDRO Reference # MDROs % Deaths MDROs % Deaths controls Attributable Mortality % CDI Dodek 201333 227 29 27 2.0
Gravel 200934 1430 N/A N/A 5.7
Kenneally 200735 278 36.7 30.6 6.1
Loo 200536 1703 N/A N/A 6.9
Pepin 200537 161 23 7 16.0 Tabak 201338 255 11.8 7.3 4.5 Weighted average 6 CRE Borer 200911 32 71.9 21.9 50.0 Mouloudi 201412 37 NA NA 27.0 Weighted average 38 MRSA Harbarth 199839 39 36 28 8.0 DeKraker 201140 242 30.6 8.4 22.2 Weighted average 20 VRE Carmeli 200241 21 NA NA 25.0 Edmond 199642 27 66.7 29.6 37.0 Song 200343 159 50.3 27.7 22.6 Stosor 199844 21 NA NA 61.9 Weighted average 28 MDR Acinetobacter Blot 200345 45 42.2 34.4 7.8 Grupper 200746 52 55.8 19.2 36.5 Wisplinghoff 199947 29 31.0 13.8 17.2 Weighted average 22
Comparison of NYS and CMS HAI Reporting
In addition to the indicators required by NYS law, hospitals are encouraged by the Centers for Medicaid and Medicare Services (CMS) to report HAI data. The CMS Hospital Inpatient Quality Reporting Program offers financial incentives to hospitals that report HAI data and publishes the nationwide data on the Hospital Compare Website
(http://www.hospitalcompare.hhs.gov). The CMS website compares hospital-specific CLABSI, CAUTI, colon SSI, hysterectomy SSI, MRSA bloodstream infection, and CDI infection rates to historical national benchmarks.
The HAI rates reported by NYS and CMS may differ. The following table (Table 34) summarizes the reasons for these differences.
Table 34. Comparison of New York State and Hospital Compare data
NYSDOH HAI Report CMS Hospital Compare
Question answered How did each hospital perform in 2013 compared to the NYS 2013 average?
How did each hospital perform in the most recent time period compared to the historical National baseline?
Surveillance system NHSN NHSN
2013 measures CLABSI (ICU), SSI (colon, hip, CABG, hysterectomy), CDI, CRE (pilot)
CLABSI (ICU), SSI (colon,
hysterectomy), CAUTI (ICU), CDI, MRSA
Time period Calendar year Rolling year (updated quarterly) Hospital Reported by unique NHSN number Reported by unique CMS number (may
contain more than one NHSN number) Intensive care units
(ICUs)
8 types of ICUs (cardiothoracic, coronary, medical, medical-surgical, surgical, neurosurgical, pediatric, neonatal)
The 8 ICUs tracked by NYS plus other adult and pediatric ICUs (e.g. burn, trauma)
SSI Exclusions SSIs detected using post discharge surveillance and not readmitted to any hospital
Children, patients with outlying risk adjustment variables, superficial infections
Displayed outcomes Raw rates, risk-adjusted rates, and standardized infection ratios
Standardized infection ratios Risk adjustment
variables
Appendix 4: List of Hospitals by County
This table lists the hospitals individually identified in this report. Additional information on the hospitals can be obtained from the NYSDOH Hospital Profile at http://hospitals.nyhealth.gov/.
County PFI CMS ID Hospital Name Previous Name
Albany 0001 330013 Albany Medical
0004 330003 Albany Memorial
0005 330057 St Peters Hospital
Allegany 0039 330096 Jones Memorial
Bronx 1178 330009 Bronx-Lebanon 1175 332006 Calvary Hospital* 1165 330127 Jacobi Medical 1172 330080 Lincoln Medical 3058 330059 Montefiore-Einstein 1169 330059 Montefiore-Moses
1168 330059 Montifiore-Wakefield Montifiore North 1186 330385 North Central Bronx
1176 330399 St Barnabas
Broome 0043 330011 Our Lady of Lourdes
0042/0058 330394 U Health Bing-Wilson Cattaraugus 0066 330103 Olean General
Cayuga 0085 330235 Auburn Memorial
Chautauqua 0098 330229 Brooks Memorial
0114 330132 TLC Lake Shore
0111 330166 Westfield Memorial*
0103 330239 Womans Christian
Chemung 0116 330090 Arnot Ogden
0118 330108 St Josephs- Elmira
Chenango 0128 330033 Chenango Memorial
Clinton 0135 330250 Champlain Valley
Columbia 0146 330094 Columbia Memorial
Cortland 0158 330175 Cortland Reg Med
Dutchess 0180 330067 MidHudson Reg of WMC St Francis- Pough.
0192 330049 Northern Dutchess 0181 330023 Vassar Brothers
Erie 0280 330111 Bertrand Chaffee
0207 330005 Buffalo General 0210 330219 Erie Medical Center
0267 330102 Kenmore Mercy
0213 330279 Mercy- Buffalo
3067 330005 Millard Fill. Suburb
0216 330354 Roswell Park
0218 330078 Sisters of Charity
County PFI CMS ID Hospital Name Previous Name
Franklin 0324 330079 Adirondack Medical
0325 330084 Alice Hyde
Fulton 0330 330276 Nathan Littauer
Genesee 0339 330073 United Memorial
Jefferson 0379 330263 Carthage Area
0367 330157 Samaritan- Watertown
Kings 1286 330233 Brookdale Hospital
1288 330056 BrooklynHos-Downtown 1294 330196 Coney Island 1309 330397 Interfaith Medical 1301 330202 Kings County 1315 330201 Kingsbrook Jewish 1304 330306 Lutheran Medical 1305 330194 Maimonides
1324 330169 Mt Sinai BI-Bklyn Beth Israel- Kings
1293 330019 NY Community Bklyn
1306 330236 NY Methodist
1302 330152 SUNY Downstate LICH
1320 330350 Univ Hosp Brooklyn
1692 330396 Woodhull Medical
1318 330221 Wyckoff Heights
Lewis 0383 331317 Lewis County
Livingston 0393 330238 Noyes Memorial
Madison 0401 330249 Community Memorial
0397 330115 Oneida Healthcare
Monroe 0409 330164 Highland Hospital
0461 330037 Lakeside Memorial
0414 330403 Monroe Community*
0411 330125 Rochester General 0413 330285 Strong Memorial 0471 330226 Unity Hosp Rochester Montgomery 0484 330047 St Marys Amsterdam
Nassau 0518 330372 Franklin
0490 330181 Glen Cove Hospital
0513 330259 Mercy Medical
0528 330027 Nassau University
County PFI CMS ID Hospital Name Previous Name
New York 1438 330204 Bellevue Hospital
1445 330240 Harlem Hospital 1486 332008 Henry J. Carter* 1447 330270 Hosp for Spec Surg
1450 330119 Lenox Hill
1453 330154 Memor SloanKettering
1454 330199 Metropolitan
1456 330024 Mt Sinai
1439 330169 Mt Sinai Beth Israel Beth Israel- Petrie 1466 330046 Mt Sinai Roosevelt
1469 330046 Mt Sinai St Lukes
1460 330100 NY Eye and Ear*
3975 330101 NYP-Allen
1464 330101 NYP-Columbia/Morgan S (previously reported separately)
1437 330101 NYP-Lower Manhattan NY Downtown
1458 330101 NYP-Weill Cornell 1446 330214 NYU Joint Disease
1463 330214 NYU Medical Center
Niagara 0581 330005 DeGraff Memorial
0565 330163 East. Niag. Lockport Lockport Memorial
0585 330163 East. Niag. Newfane Intercomm. Newfane
0583 330188 Mount St. Marys 0574 330065 Niagara Falls
Oneida 0599 330044 Faxton St. Lukes
0589 330215 Rome Memorial
0598 330245 St Elizabeth Medical
Onondaga 0636 330203 Crouse Hospital
0630 330140 St Josephs- Syracuse
0635 330241 Univ Hosp SUNY Upst
0628 330241 Upst. Community Gen
Ontario 0676 330265 Clifton Springs
0678 330074 FF Thompson
0671 330058 Geneva General
Orange 0708 330135 Bon Secours
0699/0686 330126 OrangeReg Goshen-Mid
0704 330205 St Anthony
0694/0698 330264 St LukesNewburgh-Cor
Orleans 0718 330053 Medina Memorial
Oswego 0727 330218 Oswego Hospital
Otsego 0739 330085 AO Fox Memorial
0746 330136 Mary Imogene Bassett
County PFI CMS ID Hospital Name Previous Name
Queens 1626 330128 Elmhurst
1628 330193 Flushing Hospital 1638 330353 Forest Hills Hosp 1629 330014 Jamaica Hospital 1630 330195 Long Island Jewish 1639 330024 Mt Sinai Queens
1637 330055 NY Hosp Queens
1633 330231 Queens Hospital 1635 330395 St Johns Episcopal Rensselaer 9250 330409 Burdett Care Center*
0756 330180 Samaritan- Troy
0755 330232 St Marys Troy
Richmond 1738 330028 Richmond Univ
1740/1737 330160 Staten Island U N-S
Rockland 0779 330158 Good Samar. Suffern
0775 330405 Helen Hayes Hospital*
0776 330104 Nyack Hospital
0793 332014 Summit Park Hospital*
Saratoga 0818 330222 Saratoga Hospital
Schenectady 0829 330153 Ellis Hospital
0831 330406 Sunnyview Hosp-Rehab* Schoharie 0851 330268 Cobleskill Regional*
St.Lawrence 0815 330197 Canton-Potsdam
0798 330211 Claxton-Hepburn
0804 330223 Massena Memorial
Steuben 0866 330277 Corning Hospital
0873 330144 Ira Davenport
0870 330151 St James Mercy
Suffolk 0885 330141 Brookhaven Memorial
0891 330088 Eastern Long Island 0925 330286 Good Samar. W Islip
0913 330045 Huntington
0895 330185 JT Mather
0938 330107 Peconic Bay Medical
0889 330340 Southampton
0924 330043 Southside
County PFI CMS ID Hospital Name Previous Name Westchester 1138 333301 Blythedale Childrens*
1039 330267 Hudson Valley
1061 330086 Montifiore-Mt Vernon Mount Vernon
1072 330184 Montifiore-NewRochl Sound Shore Medical
1122 330061 NYP-Lawrence 1117 330162 Northern Westchester 1129 330261 Phelps Memorial 1097 330208 St Johns Riverside 1098 330006 St Josephs- Yonkers 1046 330404 WM Burke Rehab* 1139 330234 Westchester Medical 1045 330304 White Plains
Wyoming 1153 330008 Wyoming County Comm.
* Only included in survey responses; started reporting HAI data in January 2014. PFI: New York State Permanent Facility Identification Number
Acknowledgements
Howard Zucker, MD, JD, Acting Commissioner, New York State Department of Health Guthrie Birkhead, MD, MPH, Director, Office of Public Health
Bradley Hutton, MPH, Director, Center for Community Health Debra Blog, MD, MPH, Director, Division of Epidemiology NYS HAI Reporting Program Personnel
Director, Bureau of Healthcare-Associated Infections – Emily Lutterloh, MD, MPH
HAI Reporting Program Director/Data Manager/Capital Area Representative – Valerie Haley, PhD Western Region Program Representative – Peggy Hazamy, RN, BSN, CIC
Metropolitan Area (LI, Queens, Manhattan) Program Representative – Marie Tsivitis, MPH, CIC
Metropolitan Area (SI, Brooklyn, Bronx to mid-Hudson Valley) Program Rep – Rosalie Giardina, MT(ASCP), CIC Central Region Program Representative – Robin Knab, CLT, MT(ASCP), CIC
Data Analyst – Boldtsetseg Tserenpuntsag, DrPH
State HAI Plan Coordinator (Feb 2014-current) – Kara Burke, MPH State HAI Plan Coordinator (through Dec 2013) – Cindi Dubner, BS Student Data Analyst – Christen Mayer, DrPHc, CLS(ASCP), CIC Student Data Analyst – Yifeng Wu, PhD
Technical Advisory Workgroup Physicians
John Crane, MD, Erie County Medical Center Sarah Elmendorf, MD, Albany Medical Center Paul Graman, MD, Strong Memorial Hospital Brian Koll, MD, Beth Israel Medical Center
Marisa Montecalvo, MD, Westchester Medical Center
Lisa Saiman, MD, MPH, Columbia University Medical Center Kent Sepkowitz, MD, Memorial Sloan-Kettering Cancer Center Michael Tapper, MD, Lenox Hill Hospital
Brian Valerian, MD, FACS, FASCRS, Albany Medical Center Infection Preventionists
Audrey Adams, RN, MPH, CIC, Montefiore Medical Center Donna Armellino, RN, DNP, CIC, North Shore University Hospital Melissa Bown, NP-C, Saratoga Hospital
LeAnna Grace, RN, BSN, CIC, Rome Memorial Hospital Linda Greene, RN, MPS, CIC, Highland Hospital Janet Haas, RN, DNSc, CIC, Westchester Medical Center Charlene Ludlow, RN, CIC, Erie County Medical Center Jill Patak, RN, CIC, Our Lady of Lourdes Hospital Consumer
Arthur Levin, MPH, Center for Medical Consumers Researcher
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